SAMUEL WATSON LEWIS (ATC, PT, DPT) – Physical Therapist, NPI 1497216600

SAMUEL WATSON LEWIS (ATC, PT, DPT) is a healthcare provider. based in Buford, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials ATC, PT, DPT. They hold a License No. AT003580 (GA). The NPI Number for SAMUEL WATSON LEWIS (ATC, PT, DPT) is 1497216600

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL WATSON LEWIS (ATC, PT, DPT)
NPI
1497216600
Phone
Not provided
Address
2414 DEMOCRACY DR
Enumeration Date
29 March 2019
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
PHILADELPHIA COL OF OSTEO MED, SEWANEE
Secondary Phone
7063870212
Graduation Year
2022 (4 years ago)
PAC ID
4688059926
Group Practice PAC ID
2961312244
Professional Enrollment ID
I20220922001108
Address ID
GA305492716JE1689XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for SAMUEL WATSON LEWIS (ATC, PT, DPT)

  • 2414 DEMOCRACY DR

    BUFORD, GA 305198050

    Phone:

    Type: Mailing

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone:

    Type: Mailing

  • 1689 OLD PENDERGRASS RD STE 300

    JEFFERSON, GA 305492716

    Phone: (706) 387-0212

    Type: Location

  • 3440 Highway 81

    Loganville, GA 300529112

    Phone: (770) 554-5009

    Type: Location

  • 1765 Old West Broad St

    Athens, GA 306062853

    Phone: (706) 549-1663

    Fax: (706) 546-8792

    Type: Location

  • 705 Breedlove Dr Ste 200

    Monroe, GA 306552080

    Phone: (770) 554-5009

    Fax: (706) 549-1663

    Type: Location

  • 33900 HARPER AVE STE 104

    CLINTON TWP, MI 480354258

    Phone:

    Type: Mailing

  • 1061 DOWDY RD

    ATHENS, GA 306065700

    Phone: (762) 728-4440

    Fax: (762) 728-4441

    Type: Location

  • 1765 OLD WEST BROAD ST BLDG 2-200

    ATHENS, GA 306062887

    Phone: (706) 549-1663

    Fax: (706) 546-8792

    Type: Mailing

  • 3440 HIGHWAY 81

    LOGANVILLE, GA 300529112

    Phone: (770) 554-5009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220922001108IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40046$0
97140Therapy procedure using manual technique, each 15 minutes11024$0
97016Application of blood vessel compression device6911$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6914$0
97530Therapy procedure using functional activities2813$0
View full utilization report →

Insurance plans in this area (ZIP 30519)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961312244View full group profile

Reviews

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Frequently asked questions

What number should I use to identify SAMUEL WATSON LEWIS (ATC, PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1497216600 for SAMUEL WATSON LEWIS (ATC, PT, DPT).
Quick check: is SAMUEL WATSON LEWIS (ATC, PT, DPT) active?
Public NPPES data shows SAMUEL WATSON LEWIS (ATC, PT, DPT) with an active NPI status right now.
What type of care does SAMUEL WATSON LEWIS (ATC, PT, DPT) provide?
SAMUEL WATSON LEWIS (ATC, PT, DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to SAMUEL WATSON LEWIS (ATC, PT, DPT)?
The directory associates SAMUEL WATSON LEWIS (ATC, PT, DPT) with Buford, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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